This chapter will present the role and purpose of goals and goal setting in cognitive behavior treatments of psychological disorders. Cognitive behavior therapy (CBT) is essentially a goal-directed approach, and the work carried out in therapy is goal driven (J. S. Beck, 1995). The process of setting goals and the signifi cance of working with specifi c goals based on the clients’ own situations, and their suffering and strengths as well as their personal values, play a central role in achieving success in therapy (Orlinsky, Rønnestad, & Willutzki, 2004 ). This will be highlighted by introducing some key principles when working with goals in CBT.